Health communication: the urgency and challenges of telenursing in remote nursing practice

  • Yustikasari Yustikasari Universitas Padjadjaran
  • Tawakkal Baharuddin Universitas Muhammadiyah Makassar
  • Priyo Subekti Universitas Padjadjaran
  • Renata Anisa Universitas Padjadjaran
  • Retasari Dewi Universitas Padjadjaran
Abstract views: 95 , PDF downloads: 51
Keywords: health communication; health policy; remote nursing; telenursing; therapeutic communication

Abstract

This study examined the challenges and opportunities for telenursing services’ success in remote regions of Indonesia, particularly the role of health communication in addressing these issues. This research was done using Online Research Methods (ORMs) and analysed using NVivo 12 Plus. The results reveal the desperate need to use telenursing to enhance access to and efficiency and quality of services, especially in regions far removed from healthcare facilities. The analysis showed the existence of significant barriers to the care and technological infrastructure of the area, the scant digital literacy among healthcare providers and patients, and fears concerning data security and privacy. Additionally, there is a lack of sufficient government policies and resource funding, which would otherwise improve the situation. To respond to such challenges, this study advocates for adopting other tools such as health communication models, particularly promotional and trust-building therapeutic communication designed for interaction with patients at the clinic, to increase trust and responsiveness among healthcare workers towards telemedicine. Programmatic, regulatory, and institutional documents, schemes, and strategies for digital literacy, public advocacy, and services for training healthcare workers of advanced age are also enabling and essential factors for the practical and sustained application of telenursing in Indonesia.

References

Ambas, J., Azmi, S. D., Faiza, N. M., & Fadhilah, N. (2024). Technology Integration in Community Nursing: Opportunities and Challenges. Oshada, 1(3), 76–83.

Anthony Jnr, B. (2021). Implications of Telehealth and Digital Care Solutions During COVID-19 Pandemic: A Qualitative Literature Review. Informatics for Health and Social Care, 46(1), 68–83. https://doi.org/10.1080/17538157.2020.1839467

Ariyanto, H., & Rosa, E. M. (2024). Effectiveness of telenursing in improving quality of life in patients with heart failure: A systematic review and meta-analysis. Journal of Taibah University Medical Sciences, 19(3), 664–676. https://doi.org/10.1016/j.jtumed.2024.04.009

Arnaert, A., Girard, A., Craciunas, S., Shang, Z., Ahmad, H., Debe, Z., & Demyttenaere, S. (2022). Patients’ experiences of telenursing follow-up care after bariatric surgery. Journal of Clinical Nursing, 31(7–8), 985–994. https://doi.org/10.1111/jocn.15955

Bahmanpour, S., Farahani, A. S., Nourian, M., Nasiri, M., Nikfarid, L., & Derakhshan, H. B. (2023). The impact of telenursing on hope and perceived self-efficacy of the mothers of premature infants after discharge from the NICU. Journal of Neonatal Nursing, 29(1), 164–168. https://doi.org/10.1016/j.jnn.2022.05.001

Barbosa, I. de A., Silva, K. C. da C. D. da, Silva, V. A. da, & Silva, M. J. P. da. (2016). The communication process in Telenursing: integrative review. Revista Brasileira de Enfermagem, 69(4), 765–772. https://doi.org/10.1590/0034-7167.2016690421i

Bdair, I. A. (2024). Perceptions of pre-licensure nursing students toward telecare and telenursing. Informatics for Health and Social Care, 49(1), 42–55. https://doi.org/10.1080/17538157.2024.2303642

Bruce, C. R., Klahn, S., Randle, L., Li, X., Sayali, K., Johnson, B., Gomez, M., Howard, M., Schwartz, R., & Sasangohar, F. (2024). Impacts of an Acute Care Telenursing Program on Discharge, Patient Experience, and Nursing Experience: Retrospective Cohort Comparison Study. Journal of Medical Internet Research, 26(1). https://doi.org/10.2196/54330

Carpenter, C. J. (2010). A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Communication, 25(8), 661–669. https://doi.org/10.1080/10410236.2010.521906

Chang, C. (2020). Self-Control-Centered Empowerment Model: Health Consciousness and Health Knowledge as Drivers of Empowerment-Seeking through Health Communication. Health Communication, 35(12), 1497–1508. https://doi.org/10.1080/10410236.2019.1652385

Dewi, N. K., Putri, S. A., Aditya, B. S., Universitas, ), Surabaya, C., Riau, A. K., & Kuningan, S. (2024). TOWARDS MORE INCLUSIVE HEALTHCARE (The Role of Digitalization in Expanding Access and Improving Quality in Indonesia). Jurnal Multidisipliner BHARASA, 3(1), 1–70.

Dillard, J. P., & Shen, L. (2005). On the nature of reactance and its role in persuasive health communication. Communication Monographs, 72(2), 144–168. https://doi.org/10.1080/03637750500111815

Dithole, K., Sibanda, S., Moleki, M. M., & Thupayagale-Tshweneagae, G. (2016). Exploring Communication Challenges Between Nurses and Mechanically Ventilated Patients in the Intensive Care Unit: A Structured Review. Worldviews on Evidence-Based Nursing, 13(3), 197–206. https://doi.org/10.1111/wvn.12146

Donovan, L. M., & Mullen, L. K. (2019). Expanding nursing simulation programs with a standardized patient protocol on therapeutic communication. Nurse Education in Practice, 38, 126–131. https://doi.org/10.1016/j.nepr.2019.05.015

Du, L., Xu, J., Chen, X., Zhu, X., Zhang, Y., Wu, R., Ji, H., & Zhou, L. (2020). Rebuild doctor–patient trust in medical service delivery in China. Scientific Reports, 10(1), 1–11. https://doi.org/10.1038/s41598-020-78921-y

Elberse, J. E., Caron-Flinterman, J. F., & Broerse, J. E. W. (2011). Patient-expert partnerships in research: How to stimulate inclusion of patient perspectives. Health Expectations, 14(3), 225–239. https://doi.org/10.1111/j.1369-7625.2010.00647.x

Erdmann, A. L., Delziovo, C. R., Solange, M., & Alves, F. (2024). Telenursing contributions in Primary Health Care in the COVID-19 pandemic context : an integrative review. Revista Brasileira de Enfermagem, 77(5), 1–10.

Eriksson, I., Wilhsson, M., Blom, T., Broo Wahlström, C., & Larsson, M. (2020). Telephone nurses’ strategies for managing difficult calls: A qualitative content analysis. Nursing Open, 7(6), 1671–1679. https://doi.org/10.1002/nop2.549

Esmaeilpour-BandBoni, M., Gholami-Shilsar, F., & Khanaki, K. (2021). The Effects of Telephone-Based Telenursing on Glycated Hemoglobin Among Older Adults With Type 2 Diabetes Mellitus: A Randomized Controlled Trial. Journal for Nurse Practitioners, 17(3), 305–309. https://doi.org/10.1016/j.nurpra.2020.09.015

Feldman, R., Haleva-Amir, S., Pincus, T., & Ben Ami, N. (2022). Physiotherapists’ perceptions of implementing evidence-based practice for patients with low back pain through the Enhanced Transtheoretical Model Intervention: a qualitative study. Physiotherapy Theory and Practice, 00(00), 1–12. https://doi.org/10.1080/09593985.2022.2062690

Fielding, N., Lee, R., & Blank, G. (2016). The SAGE Handbook of Online Research Methods. The SAGE Handbook of Online Research Methods, 537–550. https://doi.org/10.4135/9780857020055

Firouzkouhi, M., Abdollahimohammad, A., Arulappan, J., Nouraei, T., & Farzi, J. (2021). Challenges and Opportunities of Using Telenursing During COVID-19 Pandemic: An Integrative Review. Frontiers in Health Informatics, 10(1), 98. https://doi.org/10.30699/fhi.v10i1.332

Garnelo, L., Parente, R. C. P., Puchiarelli, M. L. R., Correia, P. C., Torres, M. V., & Herkrath, F. J. (2020). Barriers to access and organization of primary health care services for rural riverside populations in the Amazon. International Journal for Equity in Health, 19(1), 1–14. https://doi.org/10.1186/s12939-020-01171-x

Ghoulami-Shilsari, F., & Bandboni, M. E. (2019). Tele-Nursing in Chronic Disease Care: A Systematic Review. Jundishapur Journal of Chronic Disease Care, 8(2), e84379. https://doi.org/10.5812/jjcdc.84379

Hadi, I. S., Arfani, R. N., & Ikhwan, H. (2022). Dynamics of People, State, and Cyber Power in the Internet Shutdown Policy at Papua and West Papua In 2019. Proceedings of the 3rd International Media Conference 2021 (IMC 2021), 672(Imc 2021), 234–248. https://doi.org/10.2991/assehr.k.220705.025

Harada, T., Shibuya, Y., & Kamei, T. (2022). Effectiveness of telenursing for people with lung cancer at home: A systematic review and meta-analysis. Japan Journal of Nursing Science, 20(2), e12516. https://doi.org/10.1111/jjns.12516

Hargreaves, L., Zickgraf, P., Paniagua, N., Evans, T. L., & Radesi, L. (2021). COVID-19 Pandemic Impact on Nursing Student Education: Telenursing with Virtual Clinical Experiences. SAGE Open Nursing, 7, 1–8. https://doi.org/10.1177/23779608211044618

Heo, H., Lee, K., Jung, E., & Lee, H. (2021). Developing the first telenursing service for COVID-19 patients: The experience of South Korea. International Journal of Environmental Research and Public Health, 18(13), 1–13. https://doi.org/10.3390/ijerph18136885

Hvalič-Touzery, S., Dolničar, V., & Prevodnik, K. (2022). Factors influencing informal carers’ acceptance of assistive telecare systems in the pre- and post-implementation phase: A scoping study. Health and Social Care in the Community, 30(5), e1484–e1504. https://doi.org/10.1111/hsc.13840

Isidori, V., Diamanti, F., Gios, L., Malfatti, G., Perini, F., Nicolini, A., Longhini, J., Forti, S., Fraschini, F., Bizzarri, G., Brancorsini, S., & Gaudino, A. (2022). Digital Technologies and the Role of Health Care Professionals: Scoping Review Exploring Nurses’ Skills in the Digital Era and in the Light of the COVID-19 Pandemic. JMIR Nursing, 5(1), e37631. https://doi.org/10.2196/37631

Jiang, S. (2020). The Relationship between Face-to-Face and Online Patient-Provider Communication: Examining the Moderating Roles of Patient Trust and Patient Satisfaction. Health Communication, 35(3), 341–349. https://doi.org/10.1080/10410236.2018.1563030

Johnson, K. F., & Kalkbrenner, M. T. (2017). The Utilization of Technological Innovations to Support College Student Mental Health: Mobile Health Communication. Journal of Technology in Human Services, 35(4), 314–339. https://doi.org/10.1080/15228835.2017.1368428

Judijanto, L., Anurogo, D., Zani, B. N., Hasyim, D. M., & Ningsih, K. P. (2023). Implementation of Telemedicine in Health Services: Challenges and Opportunities. Journal of World Future Medicine, Health and Nursing, 2(1), 37–50. https://doi.org/10.70177/health.v2i1.667

Judijanto, L., Putra, H. N., Zani, B. N., Hasyim, D. M., & Muntasir, M. (2024). E-Health and Digital Transformation in Increasing Accessibility of Health Services. Journal of World Future Medicine, Health and Nursing, 2(1), 119–132. https://doi.org/10.70177/health.v2i1.720

Kamei, T. (2013). Information and communication technology for home care in the future. Japan Journal of Nursing Science, 10(2), 154–161. https://doi.org/10.1111/jjns.12039

Kamei, T., Kawada, A., Kakai, H., Yamamoto, Y., Nakayama, Y., Mitsunaga, H., & Nishimura, N. (2024). Japanese nurses’ confidence in their understanding of telenursing via e-learning: A mixed-methods study. Digital Health, 10. https://doi.org/10.1177/20552076241257034

Kamei, T., Kawada, A., Nishimura, N., & Kakai, H. (2021). A Fully Longitudinal Mixed Methods Case Study Design: An Example Based on the Illness Trajectory of a Person With Chronic Conditions in Home-Monitoring-Based Telenursing During the COVID-19 Pandemic. Journal of Mixed Methods Research, 15(3), 413–436. https://doi.org/10.1177/15586898211019512

Kamei, T., Yamamoto, Y., Kanamori, T., Nakayama, Y., & Porter, S. E. (2018). Detection of early-stage changes in people with chronic diseases: A telehome monitoring-based telenursing feasibility study. Nursing and Health Sciences, 20(3), 313–322. https://doi.org/10.1111/nhs.12563

Kawaguchi, T., Azuma, M., & Ohta, K. (2004). Development of a telenursing system for patients with chronic conditions. Journal of Telemedicine and Telecare, 10(4), 239–244. https://doi.org/10.1258/1357633041424395

Kawaguchi, T., & Toyomasu, K. (2021). Innovation of Community-Based Integrated Care: The History and Current Status of Telenursing in Japan. In H. Matsushita (Ed.), Health Informatics (pp. 25–35). Springer. https://doi.org/10.1007/978-981-15-3781-3_2

Khoong, E. C., Sharma, A. E., Gupta, K., Adler-Milstein, J., & Sarkar, U. (2022). The Abrupt Expansion of Ambulatory Telemedicine: Implications for Patient Safety. Journal of General Internal Medicine, 37(5), 1270–1274. https://doi.org/10.1007/s11606-021-07329-9

Kibret, G. D., Demant, D., & Hayen, A. (2023). The effect of distance to health facility on neonatal mortality in Ethiopia. BMC Health Services Research, 23(1), 1–10. https://doi.org/10.1186/s12913-023-09070-x

Kim, I. J. (2024). Exploring Public Perceptions of Telenursing: A Q Methodology Study. Nursing Open, 11(11), 70087. https://doi.org/10.1002/nop2.70087

Kim, Y. M., Min, A., & Hong, H. C. (2023). The Effectiveness of Telenursing Interventions on Patient Outcomes for Colorectal Cancer Patients: A Systematic Review and Meta-Analysis. Seminars in Oncology Nursing, 151406. https://doi.org/https://doi.org/10.1016/j.soncn.2023.151406

Kwame, A., & Petrucka, P. M. (2020). Communication in nurse-patient interaction in healthcare settings in sub-Saharan Africa: A scoping review. International Journal of Africa Nursing Sciences, 12, 100198. https://doi.org/10.1016/j.ijans.2020.100198

Lekan, D. A., Collins, S. K., & Hayajneh, A. A. (2021). Definitions of Frailty in Qualitative Research: A Qualitative Systematic Review. Journal of Aging Research, 20. https://doi.org/10.1155/2021/6285058

Li, X., Yang, S., Wang, Y., Yang, B., & Zhang, J. (2020). Effects of a transtheoretical model - Based intervention and motivational interviewing on the management of depression in hospitalized patients with coronary heart disease: A randomized controlled trial. BMC Public Health, 20(1), 1–12. https://doi.org/10.1186/s12889-020-08568-x

Machmud, M., Masmuh, A., Nasirin, C., Salahudin, Baharuddin, T., & Musma, A. E. Z. (2020). Artificial Intelligence In The Public Health Sector : The Use Of Telemedicine In Indonesia During Covid-19. Palarch, Journal Of Archaeology Of Egypt/Egyptology, 17(7), 10106–10118.

Mamom, J., & Daovisan, H. (2022). Telenursing: How do caregivers treat and prevent pressure injury in bedridden patients during the COVID-19 pandemic in Thailand? Using an embedded approach. Journal of Telemedicine and Telecare, 0(0), 1–8. https://doi.org/10.1177/1357633X221078485

Martin, K. A., Beyer-Westendorf, J., Davidson, B. L., Huisman, M. V., Sandset, P. M., & Moll, S. (2021). Use of direct oral anticoagulants in patients with obesity for treatment and prevention of venous thromboembolism: Updated communication from the ISTH SSC Subcommittee on Control of Anticoagulation. Journal of Thrombosis and Haemostasis, 19(8), 1874–1882. https://doi.org/10.1111/jth.15358

Meliala, A., Hort, K., & Trisnantoro, L. (2013). Addressing the unequal geographic distribution of specialist doctors in Indonesia: The role of the private sector and effectiveness of current regulations. Social Science and Medicine, 82, 30–34. https://doi.org/10.1016/j.socscimed.2013.01.029

Mheidly, N., & Fares, J. (2020). Leveraging media and health communication strategies to overcome the COVID-19 infodemic. Journal of Public Health Policy, 41(4), 410–420. https://doi.org/10.1057/s41271-020-00247-w

Moriyama, M., Kazawa, K., Jahan, Y., Ikeda, M., Mizukawa, M., Fukuoka, Y., Harada, K., & Rahman, M. M. (2021). The Effectiveness of Telenursing for Self-Management Education on Cardiometabolic Conditions: A Pilot Project on a Remote Island of Ōsakikamijima, Japan. Journal of Primary Care and Community Health, 12, 1–10. https://doi.org/10.1177/21501327211030817

Muhtar, Wuryanta, A. W., Wahyono, D., Sugiarto, A., & Anungrah, A. P. (2024). View of The Urgency of Digital Villages in Overcoming Blank Spots in the 3T Area.pdf. Journal of Human and Education, 4(3), pp 446-452.

Mulyanto, J., Kunst, A. E., & Kringos, D. S. (2019). Geographical inequalities in healthcare utilisation and the contribution of compositional factors: A multilevel analysis of 497 districts in Indonesia. Health and Place, 60, 102236. https://doi.org/10.1016/j.healthplace.2019.102236

Mun, M., Choi, S., & Woo, K. (2024). Investigating perceptions and attitude toward telenursing among undergraduate nursing students for the future of nursing education: a cross-sectional study. BMC Nursing, 23(1), 1–13. https://doi.org/10.1186/s12912-024-01903-2

Muñoz-Villaverde, S., Martínez-García, M., Serrano-Oviedo, L., Gómez-Romero, F. J., Sobrado-Sobrado, A. M., Cidoncha-Moreno, M. Á., Riesgo-Martín, J., Pedreira-Robles, G., & Garcimartin, P. (2024). Impact of telenurse-led intervention in clinical trials on health literacy, empowerment, and health outcomes in patients with solid tumours: a pilot quasi-experimental study. BMC Nursing, 23(1), 1–12. https://doi.org/10.1186/s12912-023-01641-x

Navarro-Martínez, O., Martinez-Millana, A., & Traver, V. (2024). Use of tele-nursing in primary care: A qualitative study on its negative and positive aspects. Atencion Primaria, 56(5), 102843. https://doi.org/10.1016/j.aprim.2023.102843

Nejadshafiee, M., Nekoei-Moghadam, M., Bahaadinbeigy, K., Khankeh, H., & Sheikhbardsiri, H. (2022). Providing telenursing care for victims: a simulated study for introducing of possibility nursing interventions in disasters. BMC Medical Informatics and Decision Making, 22(1), 1–9. https://doi.org/10.1186/s12911-022-01792-y

Peng, L., Man, S. S., Chan, A. H. S., & Ng, J. Y. K. (2023). Personal, Social and Regulatory Factors Associated With Telecare Acceptance by Hong Kong Older Adults: An Indication of Governmental Role in Facilitating Telecare Adoption. International Journal of Human–Computer Interaction, 39(5), 1059–1071. https://doi.org/https://doi.org/10.1080/10447318.2022.2050539

Putri, C. (2024). The Role of Digital Technology in Public Response in East Nusa Tenggara. Asian Digital Governance Problems, 1(1), 1–9. https://www.researchgate.net/publication/381655215

Sadeghmoghadam, L., Ahmadi Babadi, S., Delshad Noghabi, A., Nazari, S., & Farhadi, A. (2019). Effect of telenursing on aging perception of Iranian older adults. Educational Gerontology, 45(7), 476–482. https://doi.org/10.1080/03601277.2019.1657263

Schlachta-Fairchild, L., Varghese, S. B., Deickman, A., & Castelli, D. (2010). Telehealth and Telenursing Are Live: APN Policy and Practice Implications. Journal for Nurse Practitioners, 6(2), 98–106. https://doi.org/10.1016/j.nurpra.2009.10.019

Schouten, B. C., & Meeuwesen, L. (2006). Cultural differences in medical communication: A review of the literature. Patient Education and Counseling, 64(1–3), 21–34. https://doi.org/10.1016/j.pec.2005.11.014

Siriwardhana, Y., Gür, G., Ylianttila, M., & Liyanage, M. (2021). The role of 5G for digital healthcare against COVID-19 pandemic: Opportunities and challenges. ICT Express, 7(2), 244–252. https://doi.org/10.1016/j.icte.2020.10.002

Snyder, L. B., Hamilton, M. A., Mitchell, E. W., Kiwanuka-Tondo, J., Fleming-Milici, F., & Proctor, D. (2004). A meta-analysis of the effect of mediated health communication campaigns on behavior change in the United States. Journal of Health Communication, 9, 71–96. https://doi.org/10.1080/10810730490271548

Souza-Junior, V. D., Mendes, I. A. C., Mazzo, A., & Godoy, S. (2016). Application of telenursing in nursing practice: An integrative literature review. Applied Nursing Research, 29, 254–260. https://doi.org/10.1016/j.apnr.2015.05.005

St George, I., Baker, J., Karabatsos, G., Brimble, R., Wilson, A., & Cullen, M. (2009). How safe is telenursing from home? Collegian, 16(3), 119–123. https://doi.org/10.1016/j.colegn.2009.05.002

Świątoniowska-Lonc, N., Polański, J., Tański, W., & Jankowska-Polańska, B. (2020). Impact of satisfaction with physician–patient communication on self-care and adherence in patients with hypertension: cross-sectional study. BMC Health Services Research, 20(1), 1–9. https://doi.org/10.1186/s12913-020-05912-0

Talebi, F., Jesmi, A. A., Rakhshani, M. H., & Tajabadi, A. (2023). Effects of Telenursing on the Management of Self-care Behaviors in Patients With Chronic Hypertension. Journal of Research and Health, 13(4), 273–280. https://doi.org/10.32598/JRH.13.4.2118.1

Thomas, E. E., Haydon, H. M., Mehrotra, A., Caffery, L. J., Snoswell, C. L., Banbury, A., & Smith, A. C. (2022). Building on the momentum: Sustaining telehealth beyond COVID-19. Journal of Telemedicine and Telecare, 28(4), 301–308. https://doi.org/10.1177/1357633X20960638

Timmermans, S. (2020). The Engaged Patient: The Relevance of Patient–Physician Communication for Twenty-First-Century Health. Journal of Health and Social Behavior, 61(3), 259–273. https://doi.org/10.1177/0022146520943514

Toffoletto, M. C., & Tello, J. D. A. (2020). Telenursing in care, education and management in Latin America and the Caribbean: an integrative review. Revista Brasileira de Enfermagem, 73, e20190317. https://doi.org/10.1590/0034-7167-2019-0317

Trehan, I., Kivlehan, S. M., Balhara, K. S., Bonney, J., Hexom, B. J., Pousson, A. Y., Quao, N. S. A., Rybarczyk, M. M., Selvam, A., Nicholson, B. D., Bhaskar, N., Becker, T. K., Balhara, K. S., Bandolin, N. S., Bannon-Murphy, H., Becker, T. K., Bhaskar, N., Boone, A., Broccoli, M. C., … Winders, W. T. (2021). Global emergency medicine: A scoping review of the literature from 2020. Academic Emergency Medicine, 28(11), 1328–1340. https://doi.org/10.1111/acem.14356

Weinstein, R. S., Sodhi, N., Barker, G. P., Holcomb, M. J., Erps, K. A., Holtrust, A., Latifi, R., & Krupinski, E. A. (2021). Telemedicine, Telehealth and Telepresence. In Telemedicine, Telehealth and Telepresence (pp. 171–188). Springer, Cham. https://doi.org/https://doi.org/10.1007/978-3-030-56917-4_12

Weiss, D. J., Nelson, A., Vargas-Ruiz, C. A., Gligorić, K., Bavadekar, S., Gabrilovich, E., Bertozzi-Villa, A., Rozier, J., Gibson, H. S., Shekel, T., Kamath, C., Lieber, A., Schulman, K., Shao, Y., Qarkaxhija, V., Nandi, A. K., Keddie, S. H., Rumisha, S., Amratia, P., … Gething, P. W. (2020). Global maps of travel time to healthcare facilities. Nature Medicine, 26(12), 1835–1838. https://doi.org/10.1038/s41591-020-1059-1

Wirmando, Ramadhani, N., Situngkir, R., & Exposto, A. A. (2021). Pengaruh Edukasi Metode Telenursing Terhadap Kepatuhan Minum Suplemen Fe Pada Ibu Hamil. Jurnal Keperawatan Florence Nightingale, 4(1), 9–13. https://doi.org/10.52774/jkfn.v4i1.56

Wu, Y., Liu, Y., Su, Z., Sun, S., Liu, C., Ding, W., & Gao, Y. (2021). Demands for telenursing-based long-term care among disabled older adults in qingdao, china: A cross-sectional study. Patient Preference and Adherence, 15, 1981–1990. https://doi.org/10.2147/PPA.S326413

Zhu, C., Xu, X., Zhang, W., Chen, J., & Evans, R. (2020). How health communication via tik tok makes a difference: A content analysis of tik tok accounts run by Chinese provincial health committees. International Journal of Environmental Research and Public Health, 17(1), 1–13. https://doi.org/10.3390/ijerph17010192

Published
2025-03-26
How to Cite
Yustikasari, Y., Baharuddin, T., Subekti, P., Anisa, R., & Dewi, R. (2025). Health communication: the urgency and challenges of telenursing in remote nursing practice. Jurnal Studi Komunikasi, 9(1), 235 - 248. https://doi.org/10.25139/jsk.v9i1.9352
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